Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Virginia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Compass Counseling Services Of Northern Virginia (NPI 1649506940)

Field	Value
Entity Type	Organization
Organization	Compass Counseling Services Of Northern Virginia
Address	10715 Spotsylvania Ave
City	Fredericksburg
State	VA
ZIP	22408
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 22, 2009

Payer Source	Total Paid
Medicaid	$54.4M
Medicare	$0

Key Findings

This provider is effectively single-payer at scale: it has no Medicare billing on file and reports $54.4M in Medicaid revenue, indicating Medicaid is the primary and near-exclusive source of fee-for-service reimbursement for its operations. The NPI was enumerated 2009-10-22 (~17 years ago), so the organization has an established enrollment tenure in state Medicaid networks.

Revenue is highly concentrated in a few service lines: the precomputed top three Medicaid codes account for 72.9% of the provider’s total Medicaid revenue. The single largest code is H2033 ($18.3M, 33.6%), followed by 97155 ($11M, 20.2%) and 97153 ($10.4M, 19.2%), making these three codes the dominant drivers of the $54.4M Medicaid footprint.

The code mix indicates a business model focused on intensive, juvenile-focused behavioral interventions and applied behavior analysis (ABA). H2033 is multisystemic therapy for juveniles (60.2K claims, $303 avg paid/claim), while 97155 (43.1K claims, $255 avg paid/claim) and 97153 (47.4K claims, $220 avg paid/claim) are ABA treatment codes that together represent both provider-delivered and technician-delivered hands-on treatment. This suggests operations centered on high-volume, time-based direct treatment sessions rather than episodic psychiatric evaluation or psychotherapy.

On competitive standing within Virginia, this provider is a major statewide player for ABA and juvenile multisystemic therapy. Both 97155 and 97153 rank #2 in-state (99th percentile) and are described as extreme outlier, far above typical state volume for this code, while H2033 ranks #6 of 78 (94th percentile) and is described as notably above typical state volume for this code, signaling outsized scale versus peers for these service lines.

The billing mix shows an organized staffing model that leverages both technicians and supervising clinicians: 97153 (technician-delivered ABA) has 47.4K claims while 97155 (clinician-administered ABA) has 43.1K claims, and caregiver training via 97156 also appears at elevated volume (6.4K claims, $137 avg paid/claim) and ranks #2 in-state (98th percentile; extreme outlier). This pattern is consistent with an ABA-heavy program that pairs high-frequency technician contact with clinician oversight and family/caregiver coaching.

The provider also delivers structured day-treatment and partial hospitalization services at scale: H2012 (behavioral health day treatment) appears with 30.1K claims, $249 avg paid/claim and $7.5M revenue (13.8% of Medicaid revenue) and ranks #27 of 363 providers (93th percentile; notably above typical state volume for this code). H0035 (partial hospitalization) posts 20.1K claims, $97 avg paid/claim and $1.9M revenue (3.6%), ranking #33 of 145 (78th percentile; typical, unremarkable volume). These codes point to capacity for higher-intensity, programmatic outpatient services in addition to ABA.

The heavy dependence on a small set of behavioral-health and ABA codes (top three codes = 72.9% of Medicaid revenue) creates a concentrated revenue profile that will be sensitive to changes in Medicaid coverage, reimbursement rates, or utilization management for those code families. From a payer or contracting perspective, changes to H2033, 97155, or 97153 policies would disproportionately affect the provider’s top-line Medicaid revenue.

Traditional psychotherapy and psychiatric evaluation contribute minimally to overall Medicaid revenue, reinforcing that clinical focus is behavioral intervention rather than general psychotherapy or diagnostic psychiatry. For example, 90837 shows 3K claims and $274.2K revenue (0.5%) and ranks #290 of 1337 providers (78th percentile; typical, unremarkable volume), while 90791 records 31 claims and $2.2K revenue (0.0%) and ranks #413 of 612 providers (31th percentile), indicating these service types are not primary revenue drivers for this entity.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2033	Multisystemic therapy for juveniles, per 15 minutes	60,250	$300	$18.3M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	43,100	$260	$11M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	47,400	$220	$10.4M
H2012	Behavioral health day treatment, per hour	30,110	$250	$7.5M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	20,070	$100	$1.9M
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	3,490	$390	$1.4M
H0046	Mental health services, not otherwise specified	5,210	$260	$1.3M
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	6,440	$140	$881.7K
H2016	Comprehensive community support services, per diem	7,680	$100	$783.2K
97152	A technician, supervised by a physician or other qualified healthcare professional, provides supporting assessment of a patient’s destructive behavior and behavioral problems by interacting directly…	1,880	$180	$336.2K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Virginia Distribution

Compass Counseling Services Of Northern Virginia — 3 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2033	Multisystemic therapy for juveniles, per 15 minutes	6	80	5,390	$210	$3.8M
H0046	Mental health services, not otherwise specified	272	510	6,100	$190	$2.8M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	33	150	5,420	$110	$1.9M
H2012	Behavioral health day treatment, per hour	27	360	3,770	$200	$1.8M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	2	90	4,220	$210	$1.6M
H2016	Comprehensive community support services, per diem	32	60	7,920	$100	$1.4M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	2	90	1,030	$260	$977.2K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	4	40	350	$290	$278K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	290	1,340	710	$90	$245K
97152	A technician, supervised by a physician or other qualified healthcare professional, provides supporting assessment of a patient’s destructive behavior and behavioral problems by interacting directly…	3	10	1,430	$110	$169.5K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Compass Counseling Services Of Northern Virginia, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spotsylvania Medical Center Inc	VA	General Acute Care Hospital	$0	$31M
Pinnacle Treatment Centers Va-i, LLC	VA	Methadone Clinic	$152.9K	$15.6M
Assured Corporation	VA	Home Health Agency	$0	$12.8M
Lakshminarayanan Nandagopal	VA	Hematology & Oncology Physician	$2.9M	$0
Charles Maurer	VA	Hematology & Oncology Physician	$2.8M	$0
Bonny Moore	VA	Hematology & Oncology Physician	$2.7M	$0
Matthew Whitehurst	VA	Medical Oncology Physician	$2.1M	$0
Sudeep Menachery	VA	Hematology & Oncology Physician	$1.9M	$0
Arijit Chanda	VA	Interventional Cardiology Physician	$571.6K	$0
Anh Vu	VA	Cardiovascular Disease Physician	$549.9K	$90

Compass Counseling Services Of Northern Virginia — Billing Profile & Reimbursement Data

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Compass Counseling Services Of Northern Virginia — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References